Kamoo Likharetene tsa Lipetlele tse Lahloang li Hlahang Tikoloho e Sireletsehileng ea Pholiso

Likharetene tsa sepetlele tse lahloang li ntlafatsa polokeho le boinotši ba mokuli haholo. Ka ho fokotsa tšilafalo ea baktheria, tsena Likharetene tsa Bongaka thusa ho fokotsa likotsi tsa tšoaetso. Lipatlisiso li bontša hore lipetlele tse sebelisanglikharetene tse lahloang tsa likhubikle bona phokotso ea 30% ea sekhahla sa tšoaetso. Lipalopalo tsena li totobatsa katleho ea tsena likharetene tsa kamore ea sepetlele ho boloka tikoloho e hlwekileng le ho kgothaletsa kakaretso maemo a tlhokomelo ea bophelo bo botle.

Lintlha tsa Bohlokoa

• Likharetene tsa sepetlele tse lahloang li fokotsa sekhahla sa tšoaetso haholo ka ho fokotsa tšilafalo ea baktheria, e leng se lebisang libakeng tse sireletsehileng tsa pholiso.
• Likharetene tsena li ntlafatsa boinotši le boiketlo ba mokuli, li etsa hore ho be le sepakapaka se sireletsehileng haholoanyane se ka ntlafatsang khotsofalo le ho hlaphoheloa ha mokuli ka kakaretso.
• Ho amohela Lesira le lahloangs e nolofatsa mekhoa ea ho hloekisa le mesebetsi ea ts'ebetso, e lumellang libaka tsa tlhokomelo ea bophelo ho tsepamisa maikutlo haholoanyane tlhokomelong ea bakuli.

Likotsi tsa Tšoaetso ea Likharetene tsa Sepetlele sa Setso

Tšilafalo ea Baktheria

Masela a tloaelehileng a sepetlele a beha likotsi tse kholo tsa tšoaetso ka lebaka la tšekamelo ea 'ona ea ho silafatsoa ke baktheria. Lithuto li senola lipalo-palo tse tšosang mabapi le ho ata ha libaktheria tse kotsi masela ana. Mohlala, lipatlisiso tsa Trillis et al. (2008) li fumane libaktheria tse fapaneng tse atisang ho fumanoa masela a tloaelehileng a sepetlele, joalo ka ha ho bontšitsoe tafoleng e ka tlase:

Lintlha li bontša hore 92% ea likharetene tsa sepetlele tsa setso li silafatsoa ke libaktheria tse bakang mafu nakong ea beke e le 'ngoe feela ea tšebeliso. Ho feta moo, 87% ea likharetene tsena li bontša tšilafalo ea MRSA kamora matsatsi a 14. Sekhahla se phahameng joalo sa tšilafalo se totobatsa tlhoko e potlakileng ea mekhoa e ntlafalitsoeng ea bohloeki libakeng tsa tlhokomelo ea bophelo.

Mathata a Tšilafalo e Fapaneng

Tšilafalo e tšoaetsanoang e emela tšoenyeho e 'ngoe ea bohlokoa e amanang le likharetene tsa sepetlele tsa setso. Phuputso ea nako e telele e fumane hore likharetene tse 12 ho tse 13 (92%) li bontšitse tšilafalo ka hare ho beke e le 'ngoe. Ho phaella moo, likharetene tse 41 ho tse 43 (95%) li bontšitse tšilafalo bonyane hanngoe, 'me karolo ea 21 lekholong e fumanoe e na le MRSA le karolo ea 42 lekholong bakeng sa VRE.

"Moralo oa phuputso ea nako e telele o re lumelletse ho bontša hore, maemong a mangata, tšilafalo e etsahala kapele ka mor'a hore likharetene li behoe tikolohong ea sepetlele. Ho feta moo, basebetsi ba tlhokomelo ea bophelo le bakuli ba atisa ho ama likharetene tsa boinotši, e leng se khothalletsang phetisetso ea baktheria likhareteneng, tseo ka mor'a moo li ka fetisetsoang ho bakuli."

Liphihlello tsena li totobatsa karolo ea likharetene tsa sepetlele ho nolofatseng ho ata ha tšoaetso ka har'a lits'ebeletso tsa tlhokomelo ea bophelo. Ho kopana khafetsa le likharetene tsena ke bakuli le basebetsi ba tlhokomelo ea bophelo ho eketsa monyetla oa tšilafalo e fapaneng, ka hona ho beha polokeho ea mokuli kotsing.

Melemo ea Likharetene tsa Sepetlele tse Lahloang

Litefiso tse Fokolitsoeng tsa Tšoaetso

Likharetene tse lahloang tsa sepetlele li fokotsa sekhahla sa tšoaetso haholo libakeng tsa tlhokomelo ea bophelo bo botle. Moralo oa tsona bakeng sa tšebeliso e le 'ngoe o fokotsa kotsi ea tšilafalo e fapaneng, e leng bothata bo tloaelehileng ka likharetene tsa setso. Lipatlisiso li bontša hore likharetene tse lahloang li boloka sekhahla sa tšilafalo se batlang se le sieo kamora libeke tse 20, ha likharetene tsa setso li bontša sekhahla se makatsang sa tšilafalo sa 92% ka beke e le 'ngoe feela. Phapang ena e totobetseng e totobatsa katleho ea likhetho tse lahloang taolong ea tšoaetso.

Mekhatlo ea tlhokomelo ea bophelo e hlokomela bohlokoa ba likharetene tsena. Litsi tsa Taolo le Thibelo ea Mafu (CDC) li khothaletsa ho nkela likharetene tsa sepetlele tse lahloang sebaka bonyane hang ka khoeli. Ho hlokahala hore likharetene li nkeloe sebaka hang-hang ha likharetene li bonahala li silafetse kapa li silafetse. Mokhoa ona oa ho nka bohato o netefatsa hore libaka tsa tlhokomelo ea bophelo li boloka maemo a holimo a bohloeki, qetellong li sireletsa polokeho ea bakuli.

Maemo a Ntlafatso ea Bohloeki

Tšebeliso ea likharetene tsa sepetlele tse lahloang e tsamaisana le litataiso tse thata tsa taolo ea tšoaetso. Kharetene tsena hangata li na le thepa e tsoetseng pele ea ho loantša likokoana-hloko, joalo ka tse fumanoang ho Endurocide® Antimicrobial Plus, tse tšoasang le ho bolaea likokoana-hloko ka mafolofolo. Tlhahiso ena e ncha e fokotsa kotsi ea tšoaetso haholo, e fana ka tikoloho e hloekileng bakeng sa mokuli e mong le e mong e mocha.

Litsi tsa tlhokomelo ea bophelo li rua molemo ka mekhoa e bonolo ea ho hloekisa ha ho sebelisoa likharetene tse lahloang. Ho fapana le likharetene tsa setso tse hlokang ho hlatsuoa ka bongata, likhetho tse lahloang li ka nkeloa sebaka kapele, e leng se felisang libaka tse silafetseng. Bokhoni bona ha bo ntlafatse feela taolo ea tšoaetso empa hape bo ntlafatsa mesebetsi ea ts'ebetso ka har'a lipetlele.

Ntle le thibelo ea tšoaetso, likharetene tse lahloang li bontša boitlamo ba polokeho ea mokuli. Li thusa ho ntlafatsa botumo ba libaka tsa tlhokomelo ea bophelo ka har'a sechaba sa bongaka. Litlhahlobo tsa likharetene khafetsa bakeng sa matšoao a ho tsofala kapa tšilafalo li tšehetsa boiteko ba bohloeki. Ka ho amohela likharetene tsa sepetlele tse lahloang, bafani ba tlhokomelo ea bophelo ba bontša boitlamo ba bona ba ho boloka maemo a matle a bohloeki.

Ho Ntlafatsa Matšeliso le Boinotši ba Mokuli ka Likharetene tsa Sepetlele

Kutloisiso e Eketsehileng ea Tšireletso

Likharetene tsa sepetlele tse lahloang li etsa libaka tse ikhethileng bakeng sa bakuli, li fokotsa matšoenyeho haholo 'me li ntlafatsa maikutlo a bona a tšireletseho nakong ea ho hlaphoheloa. Ho fapana le likharetene tsa setso, tse ka 'nang tsa hlōleha ho fana ka boinotši bo lekaneng, likhetho tse lahloang li etsa bonnete ba hore bakuli ba ikutloa ba sirelelitsoe tikolohong e ba potolohileng. Boinotši bona bo eketsehileng bo etsa hore ho be le sepakapaka se phutholohileng haholoanyane, se lumellang bakuli ho tsepamisa maikutlo ho foleng ho e-na le ho ikutloa ba pepesehile.

Phihlelo e Molemo ea Mokuli

Ho hlahisoa ha likharetene tsa sepetlele tse lahloang ho lebisitse ntlafatsong e hlokomelehang lintlheng tsa khotsofalo ea bakuli. Ho fetoloa ha likharetene tsena ka potlako ka metsotso e ka tlase ho e 'meli ho lumella basebetsi ba tlhokomelo ea bophelo ho beha tlhokomelo ea bakuli pele. Ponahalo e ntle le ea botsebi e ntlafatsa tikoloho ka kakaretso, e tlatsetsa sebakeng se hloekileng sa tlhokomelo ea bophelo se khothalletsang boiketlo, tšepo le kholiseho boleng ba tlhokomelo.

Ho feta moo, ho hlompha sebaka sa botho ka mekhoa e sebetsang ea masira ho lebisa khotsofalong e phahameng ea mokuli 'me ho ka potlakisa ho hlaphoheloa. Tsamaiso ea masira e hlokometsoeng hantle e fana ka maikutlo a tšireletseho, e leng ea bohlokoa bakeng sa liphetho tse betere tsa mokuli. Motsoako oa boinotši le bohloeki o hlahisa phihlelo e ntle eo bakuli ba e ananelang nakong ea ho lula ha bona sepetlele.

• Boinotši ba mokuli bo ntlafatsa boiketlo le phihlelo ea sepetlele ka kakaretso haholo.
• Sebaka se hloekileng sa tlhokomelo ea bophelo bo botle se matlafatsa tšepo le kholiseho boleng ba tlhokomelo.
• Sistimi ea lesira e hlokometsoeng hantle e thusa ho ntlafatsa liphello tsa mokuli.

Ka ho tsetela likhareteneng tsa sepetlele tse lahloang, lits'ebeletso tsa tlhokomelo ea bophelo ha li ntlafatse bohloeki feela empa li boetse li ntlafatsa phihlelo ea mokuli ka kakaretso, e leng se etsang hore ho hlaphoheloa ho be monate le ho sebetsa hantle.

Melemo ea Ts'ebetso ea Likharetene tse Lahloang

Ho Sebetsa ka Botlalo Litšenyehelo

Likharetene tsa sepetlele tse lahloang li fana ka melemo e meholo ea litšenyehelo ho feta mekhoa ea setso e ka sebelisoang hape. Leha litšenyehelo tsa selemo le selemo tsa ho hlokomela likharetene tse ka sebelisoang hape li ka fihla ho $25,000, litšenyehelo tsohle tsa likharetene tse lahloang li ka ba $66,000. Ho sa tsotellehe litšenyehelo tse phahameng tsa pele, likharetene tse lahloang li boloka nako le lisebelisoa ka ho felisa litlhoko tsa ho hlatsoa liaparo. Bokhoni bona bo lumella lits'ebeletso tsa tlhokomelo ea bophelo ho aba chelete libakeng tse ling tsa bohlokoa.

• Melemo ea Bohlokoa ea Litšenyehelo:
  • Litšenyehelo tsa basebetsi li fokotsehile ka lebaka la ho se hloke litlhoko tsa ho hlatsoa liaparo.
  • Ho rarahana ha tlhokomelo ho tlase, ho lumella basebetsi ho tsepamisa maikutlo tlhokomelong ea bakuli.
  • Mokhoa oa tšebetso o ntlafetseng, kaha basebetsi ba ka fetola likharetene kapele, hangata ka nako e ka tlase ho metsotso e 'meli.

Mekhoa ea ho Hloekisa e Nolofalitsoeng

Tšebeliso ea likharetene tse lahloang e nolofatsa mekhoa ea ho hloekisa haholo. Ho fapana le likharetene tsa setso, tse hlokang ho hlatsuoa khafetsa le ho khomarela mekhoa e tiileng ea ho hloekisa, likharetene tse lahloang li ka nkeloa sebaka hang ka mor'a tšebeliso. Ts'ebetso ena e felisa libaka tse silafetseng le ho fokotsa likotsi tsa tšoaetso.

Ka ho amohela likharetene tsa sepetlele tse lahloang, libaka tsa tlhokomelo ea bophelo bo botle li ntlafatsa katleho ea ts'ebetso le ho netefatsa tikoloho e sireletsehileng bakeng sa bakuli le basebetsi. Litsamaiso tsa phetoho e potlakileng li nolofalletsa ho nkeloa sebaka ka katleho, haholo-holo libakeng tse nang le phetoho e kholo ea bakuli. Molemo ona oa ts'ebetso ha o ntlafatse feela taolo ea tšoaetso empa hape o tšehetsa liphetho tse betere tsa bakuli.

Ka bokhutšoanyane, likharetene tsa sepetlele tse lahloang li ntlafatsa polokeho le bohloeki ba mokuli haholo. Lipatlisiso li bontša hore likharetene tsena li fokotsa kotsi ea tšoaetso e fumanoang sepetlele, e leng ntho ea bohlokoa bakeng sa ho boloka maemo a holimo a tlhokomelo ea bakuli. Bokhoni ba tsona ba ts'ebetso le melemo ea lichelete li li etsa letsete la bohlokoa bakeng sa lits'ebeletso tsa tlhokomelo ea bophelo bo botle tse ikemiselitseng ho ntlafatsa tikoloho ea tsona.

LBH

Likharetene tsa sepetlele tse lahloang li entsoe ka eng?

Likharetene tsa sepetlele tse lahloang hangata li entsoe ka lesela le sa lohiloeng, le bobebe, le tšoarellang, 'me le etselitsoe ho sebelisoa hanngoe feela ho ntlafatsa bohloeki.

Likharetene tse lahloang li lokela ho nkeloa sebaka hangata hakae?

Litsi tsa tlhokomelo ea bophelo li lokela ho nkela likharetene tse lahloang sebaka ka mor'a hore mokuli e mong le e mong a li sebelise kapa ha li bonahala li le litšila ho boloka maemo a matle a bohloeki.

Na likharetene tse lahloang li fana ka lekunutu?

E, likharetene tsa sepetlele tse lahloang li etsa libaka tse ikemetseng bakeng sa bakuli, li ntlafatsa boiketlo ba bona le maikutlo a bona a tšireletseho nakong ea ha ba le sepetlele.